Patient Access Quality Assurance Representative - Full Time - Admitting

Qualifications

Education: High school diploma or GED preferred.
Experience: One to two years' experience providing administrative support in an office environment required.
Specific knowledge of diagnostic and procedural terminology, ICD and CPT/HCPCS coding systems, and billing compliance rules required.

Knowledge/Skills/Abilities

• Strong working knowledge of hospital and physician billing and coding rules and guidelines.
• Strong knowledge in Revenue Cycle data to include claims and reimbursement data, inpatient and outpatient clinical data.
• Working knowledge of government and commercial payers, insurance contract analysis, and denial data and ability to research and troubleshoot.
• Strong problem-solving skills with the ability to prioritize and delegate multiple tasks.
• Exceptional verbal and written communication skills and the ability to professionally interact at all levels within the organization and with external partners/contacts.
• Strong computer skills, including spreadsheet, word processing, and database applications.
• Knowledge of Epic software and reporting platforms preferred.
• Able to work independently, as well as part of a team, and effectively manage and prioritize conflicting demands.
• Superior organizational skills required.

Physical Demands

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear.
• The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms.
• The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl.
• Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
• The employee must occasionally lift and/or move up to 25 pounds.

Working Conditions

• Normal office environment.
• The noise level in the work environment is usually quiet to moderate while in the office.
• Occasional travel to various health system locations.